Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charlene Hicks, NP

Individual provider Family Nurse Practitioner · NPI 1235599515

Charlene Hicks, NP is a Nurse Practitioner in Leakesville, Mississippi. Qualified in 2015, 11 years ago. Practices with Southeast Mississippi Rural Health Initiative, Inc, a 38-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
11
Licensed in
MS
In the registry since
2016
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

70 Edmond Ln
Leakesville, MS 39451-5706
Phone: (601) 394-4135
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 670 Weathersby Rd Ste 140, Hattiesburg, MS 39402-9586 — (601) 318-0669
  • 105 N Main St, Richton, MS 39476 — (769) 213-9588

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 901452 (MS)

Record details

NPI number1235599515
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 1, 2016
Last updated in NPPESJuly 10, 2026
Certification dateJuly 10, 2026
Mailing addressPo Box 16285, Hattiesburg, MS 39404-6285

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Southeast Mississippi Rural Health Initiative, Inc. — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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